Psychotic depression symptoms

People with this condition experience all the typical symptoms of major depression (like continual sadness, minimal energy, sleep/appetite issues, and despair) along with symptoms of psychosis, such as:

  • Delusions

Strongly held false beliefs, often negative or paranoid, such as believing you’re evil, worthless, or that others want to harm you.

  • Hallucinations

Seeing, hearing, or feeling things that aren’t there (most commonly auditory, like hearing voices)

  • Disorganized thinking or speech

Trouble concentrating or speaking coherently, which may seem disconnected from reality.

Key features:

  • The psychosis is always mood-congruent, meaning it aligns with depressive themes like guilt, failure, disease, or death.
  • It’s not a separate illness from depression but rather a specifier used to describe the severity and features of a depressive episode.

–> My detailed guide about psychotic depression can be found here.

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